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ILI bi <br />SPECIALTY <br />IN$VAANCI AOINCT <br />CERTIFICATE OF LIABILITY INSURANCE <br />FOATE <br />(MM/DD/YYYYI <br />02/22/2024 <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS <br />WAIVED, subject to the terms and condhions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />c IN lieu of such endorsement(S). <br />ucpaeteI�holder <br />sl rance Agency <br />C ntact Name: Heather Weiss Zenzen <br />f� ,,1 <br />P ers of the U.S. Acevedo <br />Phone: 715-246-8908 FAX: 715-246-8908 <br />p �1 <br />3432 DenmarklAve#231 Date: 2O24.03.1814. <br />certs@specialtyinsumnceagency.com <br />1 RS AFFORDING COVERAGE <br />NAIC # <br />INSURED PERFORMERS OF THE U.S. MID ITS PAR IRVIATING M s: 0 0 <br />INSURER A: Evanston Insurance Company <br />35378 <br />Terry Conci <br />INSURER B: <br />dba Franklin Haynes Marionettes <br />INSURER C: <br />1234 Muirfield Road <br />Riverside, CA 92506 <br />INSURER D: <br />L:UVt_HAUtJ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />INSD <br />vmo <br />DATE(MM/DD/YY) <br />DATE(MM/DD/YY) <br />:X] COMMERCIAL GENERAL <br />EACH OCCURRENCE <br />$ 1,000,000 <br />LIABILITY <br />DAMAGE TO RENTED <br />CLAIMSMADELCCUR <br />—PREMISES (Eeoccurtence) <br />$300,000 <br />GENT AGGREGATE LIMIT <br />MED IXP (Any one person) <br />$ 5,000 <br />A <br />X <br />X <br />2CN0177-7334 <br />09/08/2023 <br />09/07/2024 <br />PERSONALBADV INJURY <br />APPLIES PER: <br />$1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />X POLICY ❑PROJECT <br />PRODUCTS-COMP/OP <br />LOG <br />AGG <br />$ 2,000,000 <br />PERFORMER ASSISTANTS) <br />EACH OCCURRENCE <br />$ <br />A <br />AGGREGATE <br />$ <br />A <br />BUSINESS PERSONAL <br />PROPERTY -INLAND MARINE <br />AGGREGATE <br />$ <br />SEXUALABUSEAND <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />MOLESTATION <br />2CN0177-7334 <br />09/08/2023 <br />09/07/2024 <br />$2,000,000 <br />X OCCUR <br />AGGREGATE <br />A <br />DATA BREACH AND CYBER <br />AGGREGATE <br />$ <br />LIABILITY COVERAGE <br />A <br />EQUIPMENT LEASED OR <br />AGGREGATE <br />$ <br />RENTED <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.: <br />Terry Cone! dba Franklin Haynes Marionettes <br />Additional Insured: The City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers as additional inured. Coverage is <br />primary and not -contributory with respect to insurance or self-insurance maintained by the City. Waiver of Subrogation applies to general liability. Thirty (30) day <br />prior written notice of Cancellation required. <br />Sexual abuse or molestation coverage is not excluded by endorsement. $1,000,000/$2,000,000 coverage limits apply to educational institutions only; otherwise <br />$100,000 each occurrence/$300,000 aggregate limits apply to sexual abuse or molestation coverage. <br />Email: jhoang@santa-ana.org Event Dates: 05/04/2024 - 07/15/2024 <br />Insured for: Puppeteer <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana Risk Management Division I SHUULU ANY OF IHE ABOVE DESCRIBED POLICIES BE CANCELLED <br />ORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING <br />20 Civic Center Plaza, 4th floor Santa Ana, CA 92702RAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br />-^��DbA <br />-t,. TIFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O <br />A±% �:. RENEWED Yy APPROVED BY: LL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />1( A,.�:.r A - _ 1 RER, ITS AGENTS OR REPRESENTATIVES. <br />Risk Management Spedkist ORIZED REPRESENTATIVE ,inl ql I n <br />